A case presentation of a pressurized diesel injury to the orbit, face, and neck.

High-pressure diesel soft tissue injuries are uncommon, especially in the orbit. These injuries can initially have a deceivingly benign clinical appearance and may radiographically mimic soft tissue emphysema but can rapidly progress with vision-threatening outcomes; cases of complete vision loss and loss of eye have been reported. Early diagnosis and intervention are essential to minimize chemical injury to soft tissues and vital structures. We present a case of a severe injury from compressed diesel to the orbit, face, and neck requiring multidisciplinary management, serial debridements, high-dose corticosteroids, and staged reconstruction with an excellent visual outcome.